Individual provider Active NPI

Blanca Luizaga, FNP-BC

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1720786437
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186571 Issued in VA
Practice address
3523 Covered Bridge LN
Woodbridge, VA 22192-6411
Phone
(703) 414-9476
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186571 VA Primary

Addresses

Primary practice location

3523 Covered Bridge LN
Woodbridge, VA 22192-6411

Mailing address

3523 Covered Bridge LN
Woodbridge, VA 22192-6411
Phone (703) 414-9476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230606000718 DC Practitioner - Nurse Practitioner 8022475144 Reassigns benefits to 1 organization
I20230707002941 VA Practitioner - Nurse Practitioner 8022475144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates PCGroup PAC ID 1254302359, 22 clinicians

Practice addresses (Care Compare)

44035 Riverside Pkwy
Suite 100
Leesburg, VA 20176-8274
Phone (703) 858-8850

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
76.08
Promoting interoperability
100
Improvement activities
40
Cost
59.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024186571VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, PC CurrentSince Jun 1, 2023 Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-4250

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850

2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1720786437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 COVERED BRIDGE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926411",
            "telephone_number": "703-414-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 COVERED BRIDGE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926411",
            "telephone_number": "703-414-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIZAGA",
        "first_name": "BLANCA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.